| NPI | 1114354123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-1439) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2016-10-17 |