| NPI | 1013059377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DE pc-0000266) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DE cd-0000009) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2008-07-09 |