NPI | 1609246388 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH 13478) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: FL MH 13478) |
Enumeration Date | 2015-10-06 |
Last Update Date | 2015-10-06 |