NPI | 1679120729 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: UT 11290032-6009) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 11290032-6019) |
Enumeration Date | 2019-08-23 |
Last Update Date | 2023-12-28 |