NPI | 1326182056 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MT 981) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MT 624) |
Enumeration Date | 2007-02-16 |
Last Update Date | 2007-07-08 |