NPI | 1205369352 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6736) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
101Y00000X Counselor (Licence: LA 6736) | |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 6736) | |
101YM0800X Counselor, Mental Health (Licence: LA 6736) | |
Enumeration Date | 2017-04-05 |
Last Update Date | 2021-05-06 |