| NPI | 1356430193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA 1735) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW004127) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |