| NPI | 1356737407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC LPC-11437) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-21338) |
| 101YM0800X Counselor, Mental Health (Licence: NC LPC-11437) | |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2018-10-30 |