NPI | 1558147769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor Addiction (Substance Use Disorder) | |
103TA0400X Psychologist Addiction (Substance Use Disorder) | |
103K00000X Behavior Analyst | |
103TB0200X Psychologist Cognitive & Behavioral | |
103TC1900X Psychologist Counseling | |
103TP2701X Psychologist Group Psychotherapy | |
3747A0650X Technician Attendant Care Provider (Licence: MO 291908) | |
Enumeration Date | 2023-09-04 |
Last Update Date | 2023-10-27 |