NPI | 1336389048 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 5962227-6009) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 5962227-6006) |
Enumeration Date | 2009-02-20 |
Last Update Date | 2009-02-20 |