NPI | 1417118902 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 5459) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 3462) |
Enumeration Date | 2008-06-18 |
Last Update Date | 2008-06-18 |