| NPI | 1083831143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 01R15) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 00093194) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-08 |