NPI | 1356496061 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 005527) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: F18506) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2022-11-30 |