NPI | 1871147520 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AK 182614) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AK 4679) |
101YM0800X Counselor, Mental Health (Licence: WA MX61300797) | |
Enumeration Date | 2019-07-31 |
Last Update Date | 2024-06-01 |