NPI | 1710585757 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 17035) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 26372) |
101YM0800X Counselor, Mental Health (Licence: NC A17035) | |
101YP2500X Counselor, Professional | |
Enumeration Date | 2020-10-13 |
Last Update Date | 2024-02-29 |