| NPI | 1669888590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60815936) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA LH60815936) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP60819458) | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NY 31074) | |
| 101YM0800X Counselor Mental Health (Licence: NY 008277-1) | |
| 101YP2500X Counselor Professional (Licence: VA 0701009808) | |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2022-07-19 |