NPI | 1982639050 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: IA 00741) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE 478) |
101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IA 00137) | |
101YM0800X Counselor Mental Health (Licence: NE 2135) | |
163W00000X Registered Nurse (Licence: IA 047854) | |
Enumeration Date | 2006-07-11 |
Last Update Date | 2007-07-08 |