NPI | 1124495387 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 72352) |
Enumeration Date | 2015-08-24 |
Last Update Date | 2017-03-02 |