NPI | 1073125696 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 4137) |
Additional Taxonomies | 101Y00000X Counselor (Licence: LA 4137) |
Enumeration Date | 2020-08-17 |
Last Update Date | 2022-02-15 |