NPI | 1528607132 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
225C00000X Rehabilitation Counselor | |
Enumeration Date | 2019-12-30 |
Last Update Date | 2020-01-23 |