NPI | 1467151464 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MT BBH-PCLC-LIC-55286) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MT BBH-ACLC-LIC-38018) |
Enumeration Date | 2023-02-28 |
Last Update Date | 2023-02-28 |