NPI | 1821060302 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SD LPC MH 2040) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SD 9804992) |
106H00000X Marriage & Family Therapist (Licence: LMFT 1137) | |
163W00000X Registered Nurse (Licence: SD RO15085) | |
Enumeration Date | 2006-02-07 |
Last Update Date | 2015-06-22 |