NPI | 1396230827 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-23365) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A16606) |
101YM0800X Counselor, Mental Health (Licence: NC 16606) | |
101YM0800X Counselor, Mental Health (Licence: NC A12921) | |
Enumeration Date | 2018-06-27 |
Last Update Date | 2022-08-19 |