| NPI | 1558614677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-15519) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC LCAS-15519) |
| 171M00000X Case Manager/Care Coordinator (Licence: NC LCAS-15519) | |
| 172V00000X Community Health Worker (Licence: NC LCAS-15519) | |
| 1041C0700X Social Worker Clinical (Licence: NC P007403) | |
| 101Y00000X Counselor (Licence: NC LCAS-15519) | |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2016-09-28 |