| 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 |