| NPI | 1417462052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0701007231) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710102955) |
| 225C00000X Rehabilitation Counselor (Licence: VA 00116571) | |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2017-12-05 |