NPI | 1356896153 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-25080) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC 12426) |
101YM0800X Counselor Mental Health (Licence: NC A12426) | |
Enumeration Date | 2016-08-22 |
Last Update Date | 2023-11-28 |