NPI | 1306526207 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
172V00000X Community Health Worker | |
Enumeration Date | 2023-07-25 |
Last Update Date | 2024-08-07 |