NPI | 1417098583 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ 11515) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 95352829) |
163W00000X Registered Nurse (Licence: AZ 249278) | |
Enumeration Date | 2007-02-09 |
Last Update Date | 2024-04-10 |