| NPI | 1699402065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 18159) |
| 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) | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: NC LCAS-28108) | |
| 225C00000X Rehabilitation Counselor (Licence: NC 584887) | |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2025-07-31 |