NPI | 1780286294 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LPC-9497) |
Additional Taxonomies | 251S00000X |
171M00000X Case Manager/Care Coordinator | |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
251B00000X Case Management | |
Enumeration Date | 2020-11-10 |
Last Update Date | 2023-05-12 |