NPI | 1811254089 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL SW14675) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2012-04-12 |
Last Update Date | 2022-03-23 |