NPI | 1992173439 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 3586) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AL ADC-717) |
Enumeration Date | 2015-09-14 |
Last Update Date | 2023-02-22 |