NPI | 1679163448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 16965) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 16965) |
Enumeration Date | 2021-01-25 |
Last Update Date | 2024-06-17 |