NPI | 1639937550 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YP2500X Counselor, Professional | |
103TB0200X Psychologist, Cognitive & Behavioral | |
103TP2701X Psychologist, Group Psychotherapy | |
Enumeration Date | 2024-03-06 |
Last Update Date | 2024-06-28 |