| NPI | 1013133602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO 1437) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CO 5145) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2024-06-25 |