NPI | 1346443504 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 060773) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L3444) |
Enumeration Date | 2007-06-06 |
Last Update Date | 2007-07-08 |