| NPI | 1346511904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 1914) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2019-02-12 |