NPI | 1528716669 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-26189) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC LCMHC-A16890) |
Enumeration Date | 2022-03-17 |
Last Update Date | 2024-08-16 |