NPI | 1942607585 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WI 10037-125) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 16640-130) |
247200000X Technician, Other | |
Enumeration Date | 2014-11-25 |
Last Update Date | 2023-05-23 |