NPI | 1295095529 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 2351) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NC 2351A) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 2351A) | |
251B00000X Case Management (Licence: NC 2351A) | |
Enumeration Date | 2012-05-21 |
Last Update Date | 2020-04-24 |