NPI | 1740626696 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DE PC-0000633) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00193700) |
Enumeration Date | 2013-05-20 |
Last Update Date | 2013-05-20 |