NPI | 1568652311 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS 2041) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2007-07-27 |
Last Update Date | 2017-05-10 |