| NPI | 1912377243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 8349) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA CIT-5000) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA LAC-5097) | |
| 101YM0800X Counselor, Mental Health (Licence: LA PLC8349) | |
| 101YP2500X Counselor, Professional (Licence: LA PLC8349) | |
| 171M00000X Case Manager/Care Coordinator (Licence: LA PLC8349) | |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2023-11-03 |