| NPI | 1124219977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 953) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2022-08-25 |