| NPI | 1376775189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 7475) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 7475) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 2238-A) | |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2014-02-03 |