| NPI | 1265608665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 777) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC LPC 4285) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |