NPI | 1295480820 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 10560) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YP2500X Counselor, Professional (Licence: SD 7259) | |
Enumeration Date | 2022-02-11 |
Last Update Date | 2022-02-11 |