NPI | 1023073509 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 1855) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CO989123) |
Enumeration Date | 2006-04-19 |
Last Update Date | 2007-07-08 |