NPI | 1811053242 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IL 22413) |
Additional Taxonomies | 1041C0700X Social Worker Clinical |
Enumeration Date | 2006-12-29 |
Last Update Date | 2007-07-09 |