| NPI | 1265562037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 2864125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15139-132) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15375-135) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2017-01-31 |