NPI | 1033578919 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0014879) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000959) |
101YP2500X Counselor, Professional (Licence: AK 138809) | |
Enumeration Date | 2016-02-19 |
Last Update Date | 2024-05-15 |