NPI | 1154890028 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 92811) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60617153) |
101YM0800X Counselor, Mental Health (Licence: WA MC60838690) | |
Enumeration Date | 2018-11-20 |
Last Update Date | 2025-05-27 |