NPI | 1003354002 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 3042-226) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16619-132) |
101YP2500X Counselor, Professional (Licence: WI 7215-125) | |
Enumeration Date | 2017-02-09 |
Last Update Date | 2023-01-27 |