NPI | 1215533690 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS P1070) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MS AD18-015D) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 281135) | |
Enumeration Date | 2020-12-10 |
Last Update Date | 2024-04-30 |