NPI | 1336719277 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-1986) |
Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LPC-1986) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC-1187) | |
Enumeration Date | 2021-07-01 |
Last Update Date | 2024-05-21 |