| NPI | 1174797682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MA MA) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2016-12-09 |