NPI | 1578730891 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO 454) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO 4262) |
Enumeration Date | 2008-05-15 |
Last Update Date | 2008-05-15 |