| NPI | 1104159060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0137551) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: FL 14967) |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2013-03-21 |