| NPI | 1104138239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP-4255) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW9306) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2013-06-05 |