| NPI | 1225248792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: HI 768-95) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178002601) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2015-06-25 |