NPI | 1396124640 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: SC 11286) |
Additional Taxonomies | 101Y00000X Counselor (Licence: SC 507765) |
Enumeration Date | 2015-05-20 |
Last Update Date | 2017-02-15 |