NPI | 1932449865 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: CO 11376) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 7650) |
101YM0800X Counselor, Mental Health (Licence: CO 11376) | |
Enumeration Date | 2013-03-01 |
Last Update Date | 2013-03-01 |