| NPI | 1285914556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1206062) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AR 347L) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 508408) | |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2017-03-24 |