NPI | 1073196689 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 013416) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P107046) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 37593) | |
Enumeration Date | 2021-05-02 |
Last Update Date | 2024-07-06 |