NPI | 1356780282 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MA 114232) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MA 114232) |
Enumeration Date | 2013-06-25 |
Last Update Date | 2013-06-25 |