| NPI | 1174846075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MO 2001007821) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2001007821) |
| 101YM0800X Counselor Mental Health (Licence: MO 2001007821) | |
| 101YP2500X Counselor Professional (Licence: MO 2001007821) | |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2010-03-05 |