NPI | 1447466958 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WY LAT-361) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WY LPC-1566) |
101YM0800X Counselor Mental Health (Licence: NE 2454) | |
101YP2500X Counselor Professional (Licence: WY LPC-1566) | |
Enumeration Date | 2007-05-14 |
Last Update Date | 2021-01-27 |