NPI | 1720239650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6401008526) |
Additional Taxonomies | 251S00000X (Licence: MI 6401008526) |
Enumeration Date | 2008-10-09 |
Last Update Date | 2008-10-09 |