NPI | 1578693990 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401007800) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI C-00348) |
101YP2500X Counselor, Professional (Licence: 66748) | |
Enumeration Date | 2007-03-06 |
Last Update Date | 2009-11-13 |