NPI | 1952554503 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 96-04-64) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2008-10-28 |
Last Update Date | 2013-02-19 |