| NPI | 1447533666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MT 199) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MT 199) |
| 101YP1600X Counselor Pastoral (Licence: MT 199) | |
| 101YP2500X Counselor Professional (Licence: MT 199) | |
| 101YS0200X Counselor School (Licence: MT 199) | |
| 103K00000X Behavior Analyst (Licence: MT 199) | |
| 101YM0800X Counselor Mental Health (Licence: MT 199) | |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-11-04 |