NPI | 1669960902 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: KS 04256) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE SATC257) |
Enumeration Date | 2018-04-23 |
Last Update Date | 2023-05-01 |