NPI | 1326586116 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO 0000630) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CO 09923888) |
Enumeration Date | 2017-02-01 |
Last Update Date | 2017-02-01 |