NPI | 1346658341 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 10953) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 21550) |
101YM0800X Counselor, Mental Health (Licence: NC 10953) | |
Enumeration Date | 2014-07-23 |
Last Update Date | 2019-08-28 |