NPI | 1275767600 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401011318) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 1-04516) |
101YP2500X Counselor, Professional (Licence: MI 6401011318) | |
Enumeration Date | 2009-05-13 |
Last Update Date | 2022-10-05 |