NPI | 1790889822 |
---|---|
Other Name | HELEN ANN AMBROSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6801009879CSW) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401003174) |
Enumeration Date | 2006-09-11 |
Last Update Date | 2007-07-08 |