| NPI | 1295151108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC LPC 8935) |
| Additional Taxonomies | 101YP1600X Counselor Pastoral (Licence: NC ADL CHAPEL 1925) |
| 101YM0800X Counselor Mental Health (Licence: NC NCC 285629) | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS 2818) | |
| Enumeration Date | 2014-03-16 |
| Last Update Date | 2014-03-17 |