NPI | 1336578384 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: CT 3193) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 1044) |
Enumeration Date | 2013-11-09 |
Last Update Date | 2024-03-12 |