| NPI | 1194028381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA S1306101650) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 7617574-3503) |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2015-04-20 |