| NPI | 1831535095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 234271) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NV CP5798) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00687-C) | |
| 101YM0800X Counselor, Mental Health (Licence: NV CP5798) | |
| 101YP2500X Counselor, Professional (Licence: NV CP5798) | |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2025-06-25 |