| NPI | 1417143611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 354) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2578) |
| 101YM0800X Counselor, Mental Health (Licence: NE 770) | |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2013-05-09 |