| NPI | 1346672946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ID 10144) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID 2675) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2013-08-28 |