NPI | 1255348504 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ND 1269) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2006-08-01 |
Last Update Date | 2007-07-08 |