NPI | 1144608944 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 11503) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NC CRC# 00119166) |
101Y00000X Counselor (Licence: NC A11503) | |
101Y00000X Counselor (Licence: NC 11503) | |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-21598) | |
Enumeration Date | 2015-05-12 |
Last Update Date | 2023-11-26 |