NPI | 1407888274 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD 93405) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LCA451) |
101YM0800X Counselor, Mental Health (Licence: MD LC2284) | |
Enumeration Date | 2006-07-06 |
Last Update Date | 2024-04-23 |