NPI | 1992780449 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: RI 00027) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: RI 80) |
Enumeration Date | 2005-12-07 |
Last Update Date | 2007-07-09 |