NPI | 1003987736 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE 407) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 1681) |
101YP2500X Counselor Professional (Licence: NE 1017) | |
Enumeration Date | 2006-11-13 |
Last Update Date | 2007-07-08 |