| NPI | 1235463308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 8340) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101Y00000X Counselor (Licence: NC 8340) | |
| 101YM0800X Counselor, Mental Health (Licence: NC 8340) | |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2014-05-16 |