| NPI | 1447466958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WY LAT-361) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY LPC-1566) |
| 101YM0800X Counselor, Mental Health (Licence: NE 2454) | |
| 101YP2500X Counselor, Professional (Licence: WY LPC-1566) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2021-01-27 |