| NPI | 1235787227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-27915) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: SC 889) |
| 101YM0800X Counselor Mental Health (Licence: NC A18765) | |
| 101Y00000X Counselor (Licence: NC A18765) | |
| 101YP2500X Counselor Professional (Licence: NC A18765) | |
| 261QM0850X Clinic/Center Adult Mental Health (Licence: NC A18765) | |
| 171400000X | |
| 251K00000X Public Health or Welfare (Licence: NC A18765) | |
| 251S00000X Community/Behavioral Health (Licence: NC A18765) | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: NC A18765) | |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2024-04-30 |