NPI | 1447679725 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE P1372) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE P10782) |
Enumeration Date | 2014-04-15 |
Last Update Date | 2016-01-27 |