NPI | 1003189101 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 2977) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 9362) |
Enumeration Date | 2012-02-21 |
Last Update Date | 2024-11-20 |