NPI | 1972836211 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 006248) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0064411) |
101YM0800X Counselor, Mental Health (Licence: NM 0065682) | |
Enumeration Date | 2009-09-17 |
Last Update Date | 2009-09-17 |