NPI | 1134356686 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM T-0123201) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NM 0147381) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0147381) | |
101YP2500X Counselor, Professional (Licence: NM 0147381) | |
Enumeration Date | 2009-06-11 |
Last Update Date | 2019-10-01 |