| NPI | 1346467669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5478-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT 1201) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15392-131) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15298-132) | |
| 101YM0800X Counselor, Mental Health (Licence: WI 1650-226) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2024-03-28 |