NPI | 1447249867 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 75) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC 732) |
Enumeration Date | 2005-10-18 |
Last Update Date | 2007-07-08 |