NPI | 1417202045 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 5280) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 8995) |
Enumeration Date | 2012-07-19 |
Last Update Date | 2013-03-01 |