| NPI | 1316221542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15852-131) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 1448-226) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2016-08-19 |