NPI | 1598932311 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1277) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P016570) |
Enumeration Date | 2008-05-12 |
Last Update Date | 2022-06-22 |