NPI | 1891844486 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 349) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC S3928) |
106H00000X Marriage & Family Therapist (Licence: NC 930) | |
106H00000X Marriage & Family Therapist (Licence: CT 000227) | |
Enumeration Date | 2007-01-10 |
Last Update Date | 2012-09-21 |