NPI | 1760701627 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 3791) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 3327) |
101YM0800X Counselor, Mental Health (Licence: CO 88758) | |
Enumeration Date | 2010-05-18 |
Last Update Date | 2022-06-16 |