NPI | 1770030603 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 3665) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TN 3665) |
101YM0800X Counselor, Mental Health (Licence: TN 3665) | |
Enumeration Date | 2016-09-08 |
Last Update Date | 2024-09-18 |