NPI | 1285177261 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
225400000X Rehabilitation Practitioner (Licence: AK 1044974) | |
Enumeration Date | 2016-11-23 |
Last Update Date | 2022-09-26 |