NPI | 1588730865 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 068-000019) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068-000048) |
Enumeration Date | 2006-11-28 |
Last Update Date | 2007-07-09 |