NPI | 1952920548 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-49913) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT BBH-ACLC-LIC-48326) |
101YM0800X Counselor, Mental Health (Licence: MT PCLC-LIC-42831) | |
101YP2500X Counselor, Professional (Licence: WA LH61234676) | |
Enumeration Date | 2020-04-13 |
Last Update Date | 2022-11-04 |