NPI | 1467073650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61055873) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP61072364) |
101YP2500X Counselor, Professional (Licence: TX 82854) | |
101YP2500X Counselor, Professional (Licence: GU LPC-157) | |
Enumeration Date | 2020-04-29 |
Last Update Date | 2024-07-11 |