| NPI | 1154476927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 101YP2500X) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 101YA0400X) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-03-15 |