NPI | 1407216427 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0133741) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 1054) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 703124) | |
Enumeration Date | 2016-03-03 |
Last Update Date | 2016-03-03 |