NPI | 1487781969 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 900) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 888) |
Enumeration Date | 2007-02-28 |
Last Update Date | 2010-01-27 |