NPI | 1285787747 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 0777) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 751) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2025-09-11 |