NPI | 1598280448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA PLC9243) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA CIT-5151) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2017-08-11 |
Last Update Date | 2023-05-05 |