| NPI | 1184928707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2011-09-30 |