NPI | 1790178804 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 20747) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC 11392) |
Enumeration Date | 2015-03-13 |
Last Update Date | 2023-08-18 |