NPI | 1669931226 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC10959) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD AC3123) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 44846) | |
101YP2500X Counselor, Professional (Licence: TX 87418) | |
101YP2500X Counselor, Professional (Licence: MI 6401222375) | |
Enumeration Date | 2019-03-13 |
Last Update Date | 2024-04-19 |