NPI | 1356437396 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI CDP00537) |
Additional Taxonomies | 101Y00000X Counselor (Licence: RI PC396) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2012-10-30 |