NPI | 1235565284 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 21264) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 21264) |
Enumeration Date | 2013-09-23 |
Last Update Date | 2015-09-07 |