NPI | 1902205719 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001868) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2014-08-18 |
Last Update Date | 2024-02-06 |