| NPI | 1225304702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PR TAC-III-11-48-0329) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PR TFC-III-05-20-0329) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-03-28 |