| NPI | 1154542868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA A8367702) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2016-05-19 |