NPI | 1417323114 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6539-125) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 2854-226) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16069-132) | |
Enumeration Date | 2015-08-17 |
Last Update Date | 2018-03-17 |