NPI | 1376992396 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 8367119-6006) | |
Enumeration Date | 2016-06-09 |
Last Update Date | 2025-01-29 |