| NPI | 1366539819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0145801) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0117671) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2014-04-02 |