NPI | 1780972976 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME LC13688) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 0890073005) |
101YM0800X Counselor, Mental Health (Licence: VT 0890073005) | |
Enumeration Date | 2011-07-21 |
Last Update Date | 2025-02-14 |