NPI | 1689804809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 6451) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CO 3102) |
101YM0800X Counselor, Mental Health (Licence: CO 3102) | |
101YP2500X Counselor, Professional (Licence: CO 3102) | |
Enumeration Date | 2009-07-22 |
Last Update Date | 2025-09-05 |