NPI | 1649676883 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA 8315) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA CW023841) |
104100000X Social Worker (Licence: PA CW023841) | |
324500000X Substance Abuse Rehabilitation Facility (Licence: PA 467133) | |
Enumeration Date | 2014-11-17 |
Last Update Date | 2024-06-19 |