NPI | 1306568571 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0019117) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 16079) |
101YM0800X Counselor, Mental Health (Licence: TX 86702) | |
Enumeration Date | 2022-09-14 |
Last Update Date | 2022-09-14 |