NPI | 1043838592 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YM0800X Counselor, Mental Health (Licence: UT 261274-6004) | |
101YP2500X Counselor, Professional | |
Enumeration Date | 2020-07-10 |
Last Update Date | 2023-03-22 |