NPI | 1578954186 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1665) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WY LPC-1665) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WY LPC-1665) | |
101YM0800X Counselor, Mental Health (Licence: WY LPC-1665) | |
Enumeration Date | 2015-02-18 |
Last Update Date | 2024-10-28 |