NPI | 1073188793 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 16877) |
Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) |
Enumeration Date | 2021-05-25 |
Last Update Date | 2021-10-27 |