NPI | 1902527385 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health (Licence: VA 0904009333) | |
101YP1600X Counselor, Pastoral | |
Enumeration Date | 2022-09-06 |
Last Update Date | 2022-09-06 |