| NPI | 1417288176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61175888) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 25304) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 001077) | |
| 101YM0800X Counselor, Mental Health (Licence: WA 61175888) | |
| 101YM0800X Counselor, Mental Health (Licence: NC 14402) | |
| 101YM0800X Counselor, Mental Health (Licence: CT 003498) | |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2023-11-28 |