NPI | 1982721080 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 65) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 1539) |
Enumeration Date | 2007-03-23 |
Last Update Date | 2007-07-08 |