NPI | 1740694785 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 11148) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-20091) |
101YM0800X Counselor, Mental Health (Licence: NC 11148) | |
Enumeration Date | 2014-06-18 |
Last Update Date | 2021-10-04 |