| NPI | 1073844858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 1606-226) |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2020-11-18 |