NPI | 1871538736 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: VA 0718000162) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: VA 0710000534) |
106H00000X Marriage & Family Therapist (Licence: VA 0717000850) | |
101YP2500X Counselor Professional | |
Enumeration Date | 2006-06-17 |
Last Update Date | 2007-07-08 |