NPI | 1811291099 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YS0200X Counselor, School (Licence: LA A046503) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA LAC#653) |
Enumeration Date | 2011-01-03 |
Last Update Date | 2011-01-03 |