NPI | 1154971315 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101Y00000X Counselor |
172V00000X Community Health Worker | |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2019-09-18 |
Last Update Date | 2024-01-04 |