NPI | 1417106386 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 970088) |
Additional Taxonomies | 251300000X Local Education Agency (LEA) (Licence: CA PCE4240) |
Enumeration Date | 2008-09-15 |
Last Update Date | 2013-07-25 |