NPI | 1922451640 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 22911) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NC 22911) |
Enumeration Date | 2016-07-18 |
Last Update Date | 2016-07-18 |