| NPI | 1295973550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 4800201120) |
| Enumeration Date | 2009-01-25 |
| Last Update Date | 2016-05-23 |