NPI | 1942510755 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5275-125) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15916-131) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15898-132) | |
101YM0800X Counselor, Mental Health (Licence: WI 5275-125) | |
Enumeration Date | 2010-10-14 |
Last Update Date | 2015-02-12 |