| NPI | 1245783059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 81692) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: OH c0500664) |
| 101YP2500X Counselor, Professional (Licence: OH E.1801006) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH cdca.160979-pre) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161560) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH c.0500664) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 14958) | |
| 101YM0800X Counselor, Mental Health (Licence: OH c.0500664) | |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2019-10-15 |