| NPI | 1295877058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701008386) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710103475) |
| 101YM0800X Counselor, Mental Health (Licence: NY 007142) | |
| 101YP2500X Counselor, Professional (Licence: AZ LPC-22590) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY CASAC-24433) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2024-08-15 |