| NPI | 1598194045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 3514) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: UT 12229329-6008) |
| 101YM0800X Counselor Mental Health (Licence: NC 10512) | |
| 101YM0800X Counselor Mental Health (Licence: UT 12229329-6004) | |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2024-06-14 |