| NPI | 1063645174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: HI LCSW-3958) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: HI 1809-14) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2015-07-13 |