NPI | 1245894203 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: A14638) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: a25309) |
Enumeration Date | 2019-04-25 |
Last Update Date | 2019-04-25 |