NPI | 1760047492 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068-0135174) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 101-0134070) |
Enumeration Date | 2019-05-08 |
Last Update Date | 2023-08-14 |