NPI | 1871169607 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 3203) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 00999-T) |
Enumeration Date | 2021-06-02 |
Last Update Date | 2021-08-18 |