NPI | 1164669149 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OK 3343) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OK 659) |
Enumeration Date | 2009-01-14 |
Last Update Date | 2015-09-30 |