| NPI | 1336489012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701006966) |
| 101YP2500X Counselor, Professional | |
| 101YP2500X Counselor, Professional (Licence: FL Mh13508) | |
| 101YP2500X Counselor, Professional (Licence: TX 85425) | |
| 101YS0200X Counselor, School | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2022-10-09 |