NPI | 1003209966 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0017773) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000830) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2015-03-16 |
Last Update Date | 2024-06-12 |