| NPI | 1184780447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI C-00390) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA LR1710314) |
| 101YM0800X Counselor, Mental Health (Licence: AZ LPC-21222) | |
| 101YM0800X Counselor, Mental Health (Licence: CA 1036) | |
| 101YM0800X Counselor, Mental Health (Licence: MI 6401009224) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC-155261) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2026-02-26 |