NPI | 1538223573 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC-0789) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-11617) |
Enumeration Date | 2006-12-21 |
Last Update Date | 2007-07-08 |