NPI | 1750442638 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: CT 001489) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000748) |
101Y00000X Counselor (Licence: CT SA-0215) | |
Enumeration Date | 2006-12-13 |
Last Update Date | 2011-12-21 |