| NPI | 1437566742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-20391) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 00118460) |
| 101YM0800X Counselor, Mental Health (Licence: NC A11372) | |
| 101YP2500X Counselor, Professional (Licence: NC A11372) | |
| 171M00000X Case Manager/Care Coordinator (Licence: NC 00118460) | |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2024-02-29 |