| NPI | 1447568696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-20928) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 106H00000X Marriage & Family Therapist | |
| 106S00000X Behavior Technician (Licence: NC RBT-18-48621) | |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2023-05-29 |