NPI | 1629468780 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DE PC-0011143) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DE PC-0011143) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-20626) | |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DE 2030) | |
Enumeration Date | 2015-01-28 |
Last Update Date | 2024-02-08 |