| NPI | 1073607602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 05101411) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: VA AAPC Fellow) |
| 1041C0700X Social Worker, Clinical (Licence: SC 5004) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |