NPI | 1710566153 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A15582) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-25922) |
101YP2500X Counselor, Professional (Licence: NC A15582) | |
101Y00000X Counselor (Licence: NC 1138411) | |
Enumeration Date | 2021-04-05 |
Last Update Date | 2022-03-03 |