| NPI | 1366755282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC S7638) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 2923) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-1717) | |
| 101YM0800X Counselor, Mental Health (Licence: FL MH8494) | |
| 101YP2500X Counselor, Professional (Licence: NC CCS-564) | |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2024-01-12 |