NPI | 1730137100 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR P9509028) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: P9509028) |
101YP2500X Counselor, Professional (Licence: AR P9509028) | |
101Y00000X Counselor (Licence: AR P9509028) | |
Enumeration Date | 2006-05-05 |
Last Update Date | 2014-09-24 |