| NPI | 1275646457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1383) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 5496) |
| 101YM0800X Counselor, Mental Health (Licence: NC 5496) | |
| 101Y00000X Counselor (Licence: NC 5496) | |
| 101YS0200X Counselor, School (Licence: NC 5496) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2016-12-05 |