| NPI | 1376729996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 15606-132) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 15528131) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IL 15446) | |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2011-08-17 |