NPI | 1316239353 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171W00000X Contractor |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 7901) |
101YP2500X Counselor, Professional (Licence: NC 7901) | |
101Y00000X Counselor (Licence: NC 7901) | |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 7901) | |
Enumeration Date | 2011-05-10 |
Last Update Date | 2023-12-26 |