NPI | 1922862598 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV MI4380) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 07648-IG) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 07494-I) | |
Enumeration Date | 2024-02-13 |
Last Update Date | 2024-06-21 |