NPI | 1700061827 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
101Y00000X Counselor | |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2008-01-08 |
Last Update Date | 2011-07-15 |