NPI | 1871632281 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 4607) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 4607) |
101YM0800X Counselor, Mental Health (Licence: SC 4607) | |
Enumeration Date | 2007-02-05 |
Last Update Date | 2010-05-12 |