| NPI | 1396978664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 3639) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP1600X Counselor, Pastoral (Licence: CO 3639) | |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2009-09-02 |