NPI | 1801343025 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 22166) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A12260) |
Enumeration Date | 2016-09-06 |
Last Update Date | 2018-02-22 |