NPI | 1790911659 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ AZDBHS #CC0545) |
Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: AZ RN015602) |
Enumeration Date | 2009-06-05 |
Last Update Date | 2009-06-05 |