NPI | 1316494388 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI D100149603346) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MI D100149603346) |
Enumeration Date | 2016-09-07 |
Last Update Date | 2016-09-07 |