NPI | 1285031815 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CO PSYC.00015188) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001013) |
Enumeration Date | 2014-11-25 |
Last Update Date | 2022-12-30 |