| NPI | 1215951074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2008-04-16 |