NPI | 1457917346 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0018297) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001989) |
101YM0800X Counselor, Mental Health (Licence: CO LPC.0018297) | |
101YP2500X Counselor, Professional (Licence: CO NLC.0109687) | |
Enumeration Date | 2019-05-15 |
Last Update Date | 2024-11-15 |