NPI | 1457600983 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 8854) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-22587) |
101YM0800X Counselor, Mental Health (Licence: NC 8854) | |
Enumeration Date | 2012-08-30 |
Last Update Date | 2025-10-01 |