NPI | 1700977790 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 781) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2242) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-1008) | |
Enumeration Date | 2006-09-27 |
Last Update Date | 2013-08-19 |