NPI | 1205257300 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MT 44367) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MT LAC 1321) |
Enumeration Date | 2013-12-17 |
Last Update Date | 2024-04-03 |