| NPI | 1033440219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 22993) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 1645) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2019-09-18 |