NPI | 1295145001 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DE PC0000941) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DE 1413) |
101YM0800X Counselor, Mental Health (Licence: DE PC-0000941) | |
Enumeration Date | 2014-05-01 |
Last Update Date | 2023-08-30 |