NPI | 1730811423 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
101YM0800X Counselor Mental Health | |
101YP2500X Counselor Professional | |
103TC2200X Psychologist Clinical Child & Adolescent | |
103TC1900X Psychologist Counseling | |
Enumeration Date | 2022-06-30 |
Last Update Date | 2022-06-30 |