| NPI | 1891911004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 402) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NCC 34245) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AK CDC II 3257) | |
| 101YP2500X Counselor, Professional (Licence: ID LCPC-318) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MAC 34245) | |
| 101YM0800X Counselor, Mental Health (Licence: NM 0190131) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2023-10-24 |