NPI | 1568124030 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-27715) |
Additional Taxonomies | 101YP2500X Counselor Professional |
Enumeration Date | 2021-10-12 |
Last Update Date | 2021-10-12 |