NPI | 1316958515 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 42) |
Additional Taxonomies | 103T00000X Psychologist (Licence: OK 1902) |
Enumeration Date | 2006-08-11 |
Last Update Date | 2007-07-08 |