| NPI | 1982349734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 9008) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 9008) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 9008) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 100178) | |
| 101YP2500X Counselor, Professional (Licence: MI 6401225964) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 100178) | |
| 101YP2500X Counselor, Professional (Licence: TX 100178) | |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2026-03-15 |