NPI | 1942685508 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 10681) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCASA-20560) |
101YM0800X Counselor Mental Health (Licence: NC LPCA-A10681) | |
Enumeration Date | 2015-07-24 |
Last Update Date | 2021-05-04 |