NPI | 1053461574 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 134) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 2485) |
Enumeration Date | 2007-01-10 |
Last Update Date | 2007-07-08 |