NPI | 1497331904 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 16377-131) |
Additional Taxonomies | 104100000X Social Worker (Licence: WI 131998-121) |
Enumeration Date | 2021-03-23 |
Last Update Date | 2021-03-28 |