| NPI | 1285626085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA 1503) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW003033) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2011-05-03 |