| NPI | 1164662045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 2464A) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC P004629) |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2013-01-28 |