| NPI | 1235442013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: KY 0898) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2010-07-21 |