NPI | 1891397071 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 16130) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-27328) |
101YP2500X Counselor Professional | |
Enumeration Date | 2020-11-12 |
Last Update Date | 2024-03-21 |