NPI | 1104059443 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1396) |
101YP2500X Counselor, Professional (Licence: NC 7485) | |
Enumeration Date | 2009-09-03 |
Last Update Date | 2022-02-14 |