NPI | 1396585824 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL LPC05296) |
Additional Taxonomies | 101Y00000X Counselor (Licence: AL LPC05296) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AL LPC05296) | |
101YM0800X Counselor, Mental Health (Licence: AL LPC05296) | |
Enumeration Date | 2024-05-31 |
Last Update Date | 2024-05-31 |