NPI | 1972110906 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
101Y00000X Counselor | |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YM0800X Counselor, Mental Health | |
101YS0200X Counselor, School | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2020-09-24 |
Last Update Date | 2020-09-24 |