NPI | 1366541039 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI LCDP00159) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: RI MCH00140) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2007-07-08 |