NPI | 1154792547 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000895) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0014639) |
Enumeration Date | 2015-10-12 |
Last Update Date | 2023-08-15 |