NPI | 1154315489 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2005-09-01 |
Last Update Date | 2007-07-08 |