NPI | 1477804516 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 080829) |
Additional Taxonomies | 101Y00000X Counselor (Licence: 00114274) |
Enumeration Date | 2012-09-28 |
Last Update Date | 2012-09-28 |