| NPI | 1144535808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10983) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP 4364) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH10983) | |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2014-07-10 |