| NPI | 1568722882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CT 2839) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 2839) |
| 101YM0800X Counselor, Mental Health (Licence: CT 2839) | |
| 106H00000X Marriage & Family Therapist (Licence: CT 2839) | |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2015-11-03 |