| NPI | 1346562337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 1154) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2019-05-07 |