| NPI | 1235361221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1806) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000669) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO .ACB 0007872) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WY LAT-387) | |
| 101YM0800X Counselor, Mental Health (Licence: CO 0011665) | |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2019-09-17 |