| NPI | 1003827163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 949) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 63481-030) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2013-04-15 |