NPI | 1154476927 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CT 101YP2500X) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CT 101YA0400X) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2020-03-15 |