NPI | 1902918683 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 16713) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180-002806) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2013-04-18 |