NPI | 1962870758 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0111093) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 151.0127541) |
Enumeration Date | 2015-09-10 |
Last Update Date | 2023-07-22 |