| NPI | 1285833889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16077-132) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2016-10-26 |