NPI | 1871951046 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 7462) |
Enumeration Date | 2016-02-03 |
Last Update Date | 2021-03-04 |