NPI | 1790983013 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 286140) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 284761) |
Enumeration Date | 2007-07-08 |
Last Update Date | 2024-08-12 |