NPI | 1003842568 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: NE 809) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 960) |
101YM0800X Counselor, Mental Health (Licence: NE 809) | |
101YM0800X Counselor, Mental Health (Licence: NE 7780) | |
Enumeration Date | 2006-06-24 |
Last Update Date | 2021-05-17 |