NPI | 1033466917 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61219035) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15859-131) |
101YP2500X Counselor, Professional (Licence: WI 1686-226) | |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16675-130) | |
Enumeration Date | 2012-08-09 |
Last Update Date | 2022-02-08 |