NPI | 1609902253 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: MA 1531) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MA 1531) |
101YS0200X Counselor School (Licence: MA 1531) | |
Enumeration Date | 2007-02-26 |
Last Update Date | 2007-07-08 |