NPI | 1225681521 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 14962) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 25602) |
101YM0800X Counselor, Mental Health (Licence: NC 14962) | |
Enumeration Date | 2019-07-17 |
Last Update Date | 2023-10-29 |