NPI | 1821245119 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002139) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0005765) |
Enumeration Date | 2008-08-19 |
Last Update Date | 2024-06-27 |