| NPI | 1275733941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000529) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 000992) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-07-20 |