NPI | 1093836553 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 314648-6006) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 314648-3501) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2007-07-08 |