NPI | 1629451943 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87001335A) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2015-07-06 |
Last Update Date | 2016-04-16 |