| NPI | 1285849497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: under supervision) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2007-08-10 |