NPI | 1487406021 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 29490) |
Additional Taxonomies | 225800000X Recreation Therapist (Licence: NC 22426) |
Enumeration Date | 2024-04-05 |
Last Update Date | 2024-04-05 |