NPI | 1154393965 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0701002997) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0718000099) |
Enumeration Date | 2006-02-06 |
Last Update Date | 2007-07-08 |