NPI | 1548473820 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: WA lh00008958) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR c1703) |
101YM0800X Counselor, Mental Health (Licence: OR c1703) | |
Enumeration Date | 2007-05-07 |
Last Update Date | 2007-07-08 |