NPI | 1366186785 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 3080) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MS AD18-019L) |
101YM0800X Counselor, Mental Health (Licence: 1625790) | |
Enumeration Date | 2022-04-21 |
Last Update Date | 2024-02-26 |