NPI | 1225575269 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 12727) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 22646) | |
101YM0800X Counselor, Mental Health | |
101YM0800X Counselor, Mental Health (Licence: NC 12727) | |
101YP2500X Counselor, Professional | |
Enumeration Date | 2017-01-29 |
Last Update Date | 2022-12-07 |