NPI | 1871682054 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 747) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC 3962) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2007-07-08 |