| NPI | 1336263516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 174400000X Specialist | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2007-07-08 |