| NPI | 1871647875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 248685) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1355) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LCA447) | |
| 101YM0800X Counselor, Mental Health (Licence: MD LC2256) | |
| 101YP2500X Counselor, Professional (Licence: NC 7130) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2023-06-21 |