NPI | 1811971781 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA IMF45895) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA IMF45895) |
Enumeration Date | 2005-12-02 |
Last Update Date | 2010-05-04 |