NPI | 1386044881 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0014444) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002010) |
101YM0800X Counselor, Mental Health (Licence: CO NLC.0104689) | |
Enumeration Date | 2014-09-03 |
Last Update Date | 2023-08-09 |