| NPI | 1134375819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1093) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4294) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2017-02-08 |