| NPI | 1851595474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 5389) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 620) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO CACIII-6910) | |
| 101YM0800X Counselor, Mental Health (Licence: CO 225642) | |
| 101YM0800X Counselor, Mental Health (Licence: CO LPC-5389) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2022-12-15 |