NPI | 1457598187 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1312) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C006853) |
Enumeration Date | 2009-01-16 |
Last Update Date | 2011-01-07 |