NPI | 1992766141 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: CO 3772) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 6230) |
Enumeration Date | 2006-03-29 |
Last Update Date | 2007-07-08 |