NPI | 1174655732 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 6503) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 3581) | |
Enumeration Date | 2007-03-09 |
Last Update Date | 2024-03-19 |