NPI | 1043611791 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 4664) |
Additional Taxonomies | 101Y00000X Counselor (Licence: LA 4664) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 4664) | |
101YM0800X Counselor, Mental Health (Licence: LA 4664) | |
Enumeration Date | 2014-09-12 |
Last Update Date | 2022-03-01 |