| NPI | 1316072457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE P337) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 1793) |
| 1041C0700X Social Worker Clinical (Licence: NE 830) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |