NPI | 1245734250 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC8326) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LC8326) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD AC2198) | |
101YP2500X Counselor, Professional (Licence: MD LC8326) | |
Enumeration Date | 2018-03-23 |
Last Update Date | 2019-09-25 |