NPI | 1982162012 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 24361) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 17294) |
Enumeration Date | 2019-03-07 |
Last Update Date | 2024-08-21 |