NPI | 1699148361 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 11982) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-21512) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 21364) | |
Enumeration Date | 2015-11-03 |
Last Update Date | 2020-10-21 |