NPI | 1952395840 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 000223) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 0680000496) |
Enumeration Date | 2005-09-07 |
Last Update Date | 2007-07-08 |