| NPI | 1396112215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 170300000X Genetic Counselor, MS |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 174400000X Specialist | |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-08-26 |