| NPI | 1215364401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 3401-A) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2020-09-25 |