NPI | 1396891461 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LCA046) |
Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: MD LC0911) |
101YP2500X Counselor, Professional (Licence: MD LC0911) | |
101YM0800X Counselor, Mental Health (Licence: MD LC0911) | |
Enumeration Date | 2007-01-25 |
Last Update Date | 2007-07-08 |