| NPI | 1083881510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1605) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ND 4112) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2010-10-15 |