| NPI | 1275810467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 5544) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 5544) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2017-10-02 |