| NPI | 1174957419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 23671) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P007320) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2018-04-19 |