| NPI | 1326197161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA 01017) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IA 008197) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2013-06-24 |