NPI | 1508903733 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 03-11-63) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L3869) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2007-07-08 |