NPI | 1528090016 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA VA #0701005309) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AK 456) |
101YM0800X Counselor, Mental Health (Licence: GA 4402) | |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AK C-4523) | |
101YM0800X Counselor, Mental Health (Licence: NC NC # 9490) | |
101YM0800X Counselor, Mental Health (Licence: DC PRC14303) | |
101YP2500X Counselor, Professional (Licence: SC 9384) | |
101YP2500X Counselor, Professional (Licence: ME CC7371) | |
101YP2500X Counselor, Professional (Licence: ME PC7218) | |
Enumeration Date | 2006-07-07 |
Last Update Date | 2024-05-20 |