NPI | 1700562485 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-23-2758) | |
Enumeration Date | 2023-06-26 |
Last Update Date | 2023-06-26 |