| NPI | 1144691783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2019-11-05 |