NPI | 1750555942 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 0403) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 396) |
Enumeration Date | 2008-04-17 |
Last Update Date | 2008-04-17 |