NPI | 1316232085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: NE P-976) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NE 9326) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-976) | |
101YM0800X Counselor, Mental Health (Licence: NE 2207) | |
101YM0800X Counselor, Mental Health (Licence: NE 9326) | |
Enumeration Date | 2011-06-10 |
Last Update Date | 2022-02-22 |