NPI | 1558476945 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 6016) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 11869) |
Enumeration Date | 2006-08-19 |
Last Update Date | 2007-07-08 |