NPI | 1386783090 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 5223421-6004) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 5223421-6006) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2023-03-10 |