| NPI | 1821412487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 10315) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 10315) |
| 101YM0800X Counselor, Mental Health (Licence: SC 6774) | |
| 101YP2500X Counselor, Professional (Licence: NC 10315) | |
| 101YP2500X Counselor, Professional (Licence: SC 6774) | |
| 106H00000X Marriage & Family Therapist (Licence: NC 1706) | |
| 175T00000X Peer Specialist (Licence: NC 10315) | |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2021-02-10 |