NPI | 1710030523 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 658) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 4242) |
Enumeration Date | 2007-01-18 |
Last Update Date | 2024-03-09 |