| NPI | 1881205987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101Y00000X Counselor (Licence: NC A16171) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 23782A) | |
| 101YM0800X Counselor, Mental Health | |
| 170300000X Genetic Counselor, MS | |
| 171M00000X Case Manager/Care Coordinator | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2022-05-13 |