| NPI | 1659737237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TF0200X Psychologist, Forensic | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2022-06-02 |