NPI | 1285852178 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 164876) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-04-23 |
Last Update Date | 2016-06-08 |