NPI | 1063573418 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 101912) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301005033) |
1041C0700X Social Worker, Clinical (Licence: MI 6801066009) | |
Enumeration Date | 2006-12-12 |
Last Update Date | 2007-07-08 |