NPI | 1568949790 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NV 01299-L) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NV 01299-L) |
Enumeration Date | 2018-07-20 |
Last Update Date | 2018-07-20 |