NPI | 1164807640 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor Addiction (Substance Use Disorder) | |
101YP2500X Counselor Professional | |
Enumeration Date | 2015-07-24 |
Last Update Date | 2019-09-16 |