NPI | 1811433402 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD0000609) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0013278) |
Enumeration Date | 2017-01-06 |
Last Update Date | 2017-01-06 |