NPI | 1336263516 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
174400000X Specialist | |
Enumeration Date | 2007-03-16 |
Last Update Date | 2007-07-08 |