NPI | 1720120603 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 597) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 3828) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2025-09-11 |