| NPI | 1023258738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC-0874) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 11-R-27) | |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2017-11-14 |