NPI | 1598643868 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0704018348) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0704018348) |
Enumeration Date | 2025-08-25 |
Last Update Date | 2025-08-25 |