NPI | 1013966084 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 014427) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701004133) |
101YP2500X Counselor, Professional (Licence: MO 2001029224) | |
Enumeration Date | 2006-05-08 |
Last Update Date | 2023-12-08 |