NPI | 1003527961 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: Ci43920824) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA Ci43920824) |
101YS0200X Counselor, School | |
Enumeration Date | 2022-12-12 |
Last Update Date | 2024-08-06 |