NPI | 1245573849 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 17200) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 270693) |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YM0800X Counselor, Mental Health (Licence: VT 068.0135166TELE) | |
Enumeration Date | 2013-04-02 |
Last Update Date | 2023-04-20 |