| NPI | 1356332464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 1321) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 5924-125) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2019-06-21 |