| NPI | 1447649884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AZ LPC-18434) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH C.1200308) |
| 101YP2500X Counselor Professional (Licence: OH E.1700254) | |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2023-11-20 |