NPI | 1932494200 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TN 000000547) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 0000002263) |
Enumeration Date | 2011-06-15 |
Last Update Date | 2011-06-15 |