NPI | 1679902316 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000903) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 002541) |
Enumeration Date | 2013-11-04 |
Last Update Date | 2014-08-11 |