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 |