NPI | 1699005132 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LPC-4357) |
Additional Taxonomies | 101Y00000X Counselor (Licence: ID LPC-4357) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ID LPC-4357) | |
Enumeration Date | 2010-01-06 |
Last Update Date | 2010-01-06 |