| NPI | 1346565751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701007422) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health (Licence: NC A11449) | |
| 101YP2500X Counselor, Professional (Licence: KS 2286) | |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2023-06-21 |