NPI | 1659434983 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 3458) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 0058001) |
Enumeration Date | 2006-12-18 |
Last Update Date | 2007-07-08 |