NPI | 1568865673 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ME CC5612) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ME LC5947) |
Enumeration Date | 2014-10-02 |
Last Update Date | 2023-10-16 |