| NPI | 1942574512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CP3252-R) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health (Licence: KS 3114) | |
| 101YP2500X Counselor, Professional (Licence: KS 3172) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS LAC-1266) | |
| 101Y00000X Counselor | |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2022-10-03 |