| NPI | 1992307748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A17196) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-27610) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ADDC.0000012) | |
| 101YM0800X Counselor, Mental Health (Licence: NC 17196) | |
| 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0018646) | |
| 101YM0800X Counselor, Mental Health (Licence: CO LPC.0019598) | |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2023-10-26 |