NPI | 1144254491 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MS W3612) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MS W3612) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2007-07-08 |