| NPI | 1386155893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60927851) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL TPMC926) |
| 101YP2500X Counselor, Professional (Licence: FL TPMC926) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA PC010895) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA MC60927851) | |
| 101YM0800X Counselor, Mental Health (Licence: PA PC010895) | |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2022-08-04 |