NPI | 1154785889 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 12458) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-22306) |
101YP2500X Counselor, Professional (Licence: NC 12458) | |
Enumeration Date | 2016-04-08 |
Last Update Date | 2023-02-16 |