NPI | 1710272406 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 433) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 4108) |
Enumeration Date | 2011-06-10 |
Last Update Date | 2011-06-10 |