| NPI | 1295074193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60623881) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-21339) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 5738) | |
| 101YM0800X Counselor, Mental Health (Licence: FL MH12393) | |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2023-07-28 |