NPI | 1720731870 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AZ LPC-19048) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: AZ LISAC-15180) |
Enumeration Date | 2022-01-29 |
Last Update Date | 2022-07-27 |