| NPI | 1417223686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P2210014) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 7793) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health (Licence: AR P2210014) | |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0014898) | |
| Enumeration Date | 2012-03-31 |
| Last Update Date | 2023-10-20 |