NPI | 1104197086 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA C6828149) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2012-01-24 |
Last Update Date | 2012-06-15 |