NPI | 1396816591 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP 1077) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH3935) |
Enumeration Date | 2006-11-11 |
Last Update Date | 2007-07-08 |