NPI | 1497144851 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 12839) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 21355) |
101YP2500X Counselor, Professional (Licence: NC A12839) | |
Enumeration Date | 2015-01-22 |
Last Update Date | 2022-11-17 |