NPI | 1245490150 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6801060152) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801060152) |
Enumeration Date | 2008-06-13 |
Last Update Date | 2008-06-13 |