| NPI | 1659411734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 3705) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-24865) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 106) | |
| 101YM0800X Counselor, Mental Health (Licence: WA lh61180490) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2023-11-03 |