| NPI | 1720383037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 15406) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 1469) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 832) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 1320576-6008) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1509) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CBT-2023-0661) | |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2024-03-22 |