NPI | 1578993465 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16500) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2013-11-14 |
Last Update Date | 2021-10-14 |