| NPI | 1194153320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 10639) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 3440A) |
| 101YP2500X Counselor Professional (Licence: NC A10639) | |
| Enumeration Date | 2013-10-25 |
| Last Update Date | 2018-11-27 |