| NPI | 1316615164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 86603) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 151.0134149TELE) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 16106) | |
| 101YM0800X Counselor, Mental Health (Licence: VT 068.0135111TELE) | |
| 101YM0800X Counselor, Mental Health (Licence: FL TPMC3036) | |
| 101YP2500X Counselor, Professional (Licence: SC 449) | |
| 101YP2500X Counselor, Professional (Licence: TX 86603) | |
| Enumeration Date | 2021-09-04 |
| Last Update Date | 2023-03-17 |