| NPI | 1134417710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 372600000X Adult Companion |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2013-09-30 |