NPI | 1144591728 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CT 000658) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CT 0001785) |
Enumeration Date | 2012-01-13 |
Last Update Date | 2016-09-22 |