NPI | 1861504391 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 090074) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802069480) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2007-07-08 |