NPI | 1750696027 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC-1267) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LISAC-1267) |
Enumeration Date | 2010-08-11 |
Last Update Date | 2010-08-11 |