| NPI | 1225193790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AZ NCC-75942) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC-10648) |
| 101YM0800X Counselor, Mental Health (Licence: AZ LPC-10984) | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2007-07-09 |