NPI | 1750550976 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 035) |
Additional Taxonomies | 104100000X Social Worker (Licence: KS 5208) |
Enumeration Date | 2008-02-21 |
Last Update Date | 2017-04-19 |