NPI | 1427585223 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: RI CDP00805) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2017-05-11 |
Last Update Date | 2021-12-20 |