NPI | 1972695484 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 1111021) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2006-09-29 |
Last Update Date | 2013-03-28 |