NPI | 1073646618 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 172V00000X Community Health Worker |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2007-03-13 |
Last Update Date | 2017-02-07 |