NPI | 1952543225 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: SD LPC-MH2205) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: SD 08111373) |
101YP2500X Counselor Professional (Licence: SD LPC7067) | |
Enumeration Date | 2009-04-01 |
Last Update Date | 2024-04-19 |