| NPI | 1346373206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DE CD-0000078) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00160100) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37CA00046700) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2016-03-08 |