NPI | 1821407073 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A10358) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 22225) |
225C00000X Rehabilitation Counselor (Licence: NC 00117659) | |
Enumeration Date | 2014-08-12 |
Last Update Date | 2018-01-24 |