NPI | 1538673843 |
---|---|
Former Name | RUTA DIEDONYTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0016138) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001356) |
101YM0800X Counselor, Mental Health (Licence: CO NLC.0013526) | |
Enumeration Date | 2017-11-22 |
Last Update Date | 2024-09-23 |