NPI | 1972059947 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 446OCAC) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 693) |
Enumeration Date | 2016-08-30 |
Last Update Date | 2016-08-30 |