| NPI | 1417006164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000812) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 001277) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2009-10-21 |