| NPI | 1396013009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 002725) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000617) |
| 101YM0800X Counselor, Mental Health (Licence: CT 000617) | |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2016-05-26 |