NPI | 1447658000 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 6870) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 1YA0400X) |
Enumeration Date | 2014-12-15 |
Last Update Date | 2023-03-10 |