NPI | 1578634853 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NE 100) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 2) |
101YM0800X Counselor, Mental Health (Licence: NE 356) | |
Enumeration Date | 2006-11-10 |
Last Update Date | 2025-09-11 |