| NPI | 1376884510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 104100000X Social Worker |
| 372600000X Adult Companion | |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-05-31 |