NPI | 1184633810 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: VT 068-0000124) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 068-0000124) |
101YM0800X Counselor, Mental Health (Licence: VT 068-0000124) | |
Enumeration Date | 2006-08-05 |
Last Update Date | 2007-07-08 |