NPI | 1710139332 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 5350) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO 984828) |
Enumeration Date | 2008-10-14 |
Last Update Date | 2008-10-14 |