| NPI | 1699402065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: NC LCAS-28108) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC LCMHC-A) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCMHC-A) | |
| 101YM0800X Counselor, Mental Health (Licence: NC LCMHC-A) | |
| 101YP2500X Counselor, Professional (Licence: NC LCMHC-A) | |
| 225C00000X Rehabilitation Counselor (Licence: NC 584887) | |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2023-01-26 |