NPI | 1194201541 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SD 20779) |
101YP2500X Counselor, Professional (Licence: ID 48724) | |
101YM0800X Counselor, Mental Health (Licence: FL 18725) | |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ 15092) | |
Enumeration Date | 2018-07-18 |
Last Update Date | 2023-08-29 |