NPI | 1912147828 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 15705-132) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WI 5231-125) |
Enumeration Date | 2009-03-05 |
Last Update Date | 2016-10-20 |