NPI | 1326173998 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 13374) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2007-07-08 |