NPI | 1811049976 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 199) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 2441) |
101YP2500X Counselor, Professional (Licence: OK 2441) | |
Enumeration Date | 2007-01-17 |
Last Update Date | 2007-07-08 |