NPI | 1932577186 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15947) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 2552) |
Enumeration Date | 2015-09-04 |
Last Update Date | 2015-09-04 |