| NPI | 1144569294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 3060) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 3060-A) |
| 104100000X Social Worker | |
| Enumeration Date | 2013-02-10 |
| Last Update Date | 2018-03-17 |