NPI | 1558779298 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-21440) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
252Y00000X Early Intervention Provider Agency | |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2014-07-25 |
Last Update Date | 2021-01-08 |