NPI | 1922430479 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA SW130680) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA SW130680) |
Enumeration Date | 2013-08-07 |
Last Update Date | 2013-08-07 |