NPI | 1578803441 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: WI 1671-226) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 17072-130) |
Enumeration Date | 2013-02-28 |
Last Update Date | 2014-01-14 |