NPI | 1871629451 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IA 06172) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IA 01001) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2007-07-08 |