| NPI | 1194895425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NM 3551) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NM 0817) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-07-09 |