NPI | 1043529886 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 25265) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2010-09-28 |
Last Update Date | 2014-03-20 |