NPI | 1396152757 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 12101) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NC 12101) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCASA-20687) | |
101YM0800X Counselor, Mental Health (Licence: NC 12101) | |
Enumeration Date | 2014-07-17 |
Last Update Date | 2018-06-01 |