NPI | 1629294970 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 5699) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 371) |
251S00000X (Licence: OK 5699) | |
Enumeration Date | 2007-04-17 |
Last Update Date | 2023-09-05 |