NPI | 1497811731 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P358) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3029) |
101YP2500X Counselor, Professional (Licence: NE 1567) | |
163W00000X Registered Nurse (Licence: NE 22854) | |
Enumeration Date | 2006-12-29 |
Last Update Date | 2007-07-08 |