| NPI | 1891060281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA LAC #921) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA CCGC #138) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA CCDP #1078) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA CCS #125) | |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2012-03-19 |