| NPI | 1255778999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 80992) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: NM 343354) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 60256647) | |
| 101YM0800X Counselor, Mental Health (Licence: WA 60296838) | |
| 101YS0200X Counselor, School (Licence: WA 485664G) | |
| 101YS0200X Counselor, School (Licence: MT 86119) | |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2019-04-11 |