NPI | 1588796114 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA IMF 48388) |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2007-03-09 |
Last Update Date | 2011-07-20 |