NPI | 1760765416 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1659) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ND 873-4-15-16-365) |
Enumeration Date | 2011-09-20 |
Last Update Date | 2019-11-01 |