| NPI | 1073646618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2017-02-07 |