NPI | 1134677057 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-21949) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A11482) |
Enumeration Date | 2016-09-20 |
Last Update Date | 2016-09-20 |