NPI | 1124561071 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 007667) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NY 31156) |
Enumeration Date | 2016-11-27 |
Last Update Date | 2017-03-27 |