| NPI | 1386974020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 1458lcpc) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT 1267lac) |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2010-06-16 |