| NPI | 1417106386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 970088) |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) (Licence: CA PCE4240) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2013-07-25 |