| NPI | 1255485850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 547-1-1-06) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1525) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2018-02-05 |