NPI | 1144489261 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7520-125) |
Additional Taxonomies | 101Y00000X Counselor (Licence: 15477-135) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15137-132) | |
101YM0800X Counselor, Mental Health (Licence: WI 638-226) | |
Enumeration Date | 2008-06-04 |
Last Update Date | 2025-08-29 |