NPI | 1841436490 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 0013609) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701004501) |
Enumeration Date | 2009-01-05 |
Last Update Date | 2021-03-31 |