NPI | 1972578706 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE 431) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 2081) |
101YP2500X Counselor Professional (Licence: NE 1192) | |
Enumeration Date | 2006-02-23 |
Last Update Date | 2007-07-09 |