NPI | 1891008611 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: FL MH10269) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 3361) |
Enumeration Date | 2010-07-21 |
Last Update Date | 2010-07-21 |