NPI | 1942698881 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1732) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ND 760-8-1-13-272) |
Enumeration Date | 2014-12-30 |
Last Update Date | 2016-10-18 |