NPI | 1982139945 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.010659) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL CADC 32475) |
Enumeration Date | 2017-04-27 |
Last Update Date | 2017-04-27 |