| NPI | 1437256898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000072) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 000204) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |