NPI | 1083007959 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ND 550-2-15-06-196) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1544) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0718000251) | |
101YM0800X Counselor, Mental Health (Licence: VA 0701005841) | |
Enumeration Date | 2015-03-16 |
Last Update Date | 2015-04-14 |