NPI | 1003400201 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC A16360) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 26781) |
Enumeration Date | 2021-02-27 |
Last Update Date | 2021-08-17 |