| NPI | 1336465269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 7687) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 7687) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1527) | |
| 101YM0800X Counselor, Mental Health (Licence: NC 7687) | |
| 103TC1900X Psychologist, Counseling (Licence: NC 7687) | |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2014-01-31 |