NPI | 1730213232 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 34002826A) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39000882A) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2024-05-30 |