NPI | 1215573373 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DE 1339) |
Additional Taxonomies | 104100000X Social Worker (Licence: DE Q3-0000020) |
Enumeration Date | 2019-11-25 |
Last Update Date | 2019-11-25 |