NPI | 1174957963 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR R8160) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: professionallicense) |
101YP2500X Counselor, Professional (Licence: ID 8378) | |
Enumeration Date | 2013-08-28 |
Last Update Date | 2023-06-26 |