NPI | 1235290248 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 3720) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 991245) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2007-07-08 |