| NPI | 1316221419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-3059) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2015-02-06 |