NPI | 1578953709 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1713) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4914) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-1279) | |
Enumeration Date | 2015-01-26 |
Last Update Date | 2017-02-27 |