| NPI | 1225173008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0129181) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 0094991) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0089491) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2010-06-09 |