| NPI | 1235323163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 7250) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LCA463) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS 205439) | |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2010-06-03 |