NPI | 1356377584 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO 2853) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CO 1633) |
Enumeration Date | 2006-06-22 |
Last Update Date | 2013-08-29 |