NPI | 1548945728 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: CRC00110219) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI LPC6401011244) |
101YM0800X Counselor, Mental Health (Licence: MI LPC6401011244) | |
106H00000X Marriage & Family Therapist (Licence: MI LPC6401011244) | |
Enumeration Date | 2023-06-16 |
Last Update Date | 2023-06-16 |