NPI | 1629511704 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor Mental Health | |
1041C0700X Social Worker Clinical | |
Enumeration Date | 2016-11-22 |
Last Update Date | 2018-11-27 |