NPI | 1043385495 |
---|---|
Other Name | BEVERLY ANN FRATES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE 403) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 311) |
101YP2500X Counselor Professional (Licence: NE 431) | |
Enumeration Date | 2006-11-21 |
Last Update Date | 2007-07-08 |