NPI | 1679747711 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IL 25871) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2008-04-19 |
Last Update Date | 2008-04-19 |