NPI | 1194434225 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT 71630) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 79533) |
Enumeration Date | 2022-11-17 |
Last Update Date | 2025-05-15 |