| NPI | 1851453930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LCA335) |
| 101YM0800X Counselor, Mental Health (Licence: MD LC1495) | |
| 101YP1600X Counselor, Pastoral | |
| 101YP2500X Counselor, Professional (Licence: MD LC1495) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-07-09 |