| NPI | 1407106248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 2869-A) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2013-07-31 |