NPI | 1437136421 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: TN LPC384450) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TN LADAC3844509) |
Enumeration Date | 2005-12-29 |
Last Update Date | 2007-07-08 |