NPI | 1710945225 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD C4302) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP1599) |
101YM0800X Counselor, Mental Health (Licence: FL MH6477) | |
101YM0800X Counselor, Mental Health (Licence: FL MH6447) | |
101YM0800X Counselor, Mental Health (Licence: MD LC7662) | |
Enumeration Date | 2006-05-03 |
Last Update Date | 2018-09-25 |