NPI | 1780773879 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 035) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NH 01976321) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2007-07-08 |