NPI | 1912359456 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 12721) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 12721) |
101YM0800X Counselor Mental Health (Licence: TX 12721) | |
Enumeration Date | 2016-07-08 |
Last Update Date | 2016-07-08 |