NPI | 1700040524 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2531) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 517) |
101YP2500X Counselor, Professional (Licence: NE 1376) | |
Enumeration Date | 2008-07-10 |
Last Update Date | 2008-07-10 |