| NPI | 1184706319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 47784) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 696) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 306) | |
| 101YP2500X Counselor Professional (Licence: NC 3322) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2024-09-04 |