NPI | 1538215108 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 912) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 4489cc) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2007-07-08 |