NPI | 1427128347 |
---|---|
Former Name | LINDA M ACKLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 101YA0400X) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 101YM0800X) |
101YP1600X Counselor, Pastoral (Licence: CA 101YM0A0400X) | |
Enumeration Date | 2006-11-08 |
Last Update Date | 2007-07-08 |