NPI | 1770856502 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: NY 004833) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NY 22841) |
101YM0800X Counselor Mental Health (Licence: NY 004833) | |
Enumeration Date | 2012-02-09 |
Last Update Date | 2012-09-23 |