| NPI | 1669921219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0012518) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 17053-131) |
| 101Y00000X Counselor (Licence: VA 0701013626) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00385600) | |
| 101YM0800X Counselor, Mental Health (Licence: WI 10421-125) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001616) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0718000666) | |
| 101Y00000X Counselor (Licence: NJ 37PC00983800) | |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2026-04-29 |