| NPI | 1447300249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MT 48) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT 75) |
| 101YP2500X Counselor, Professional (Licence: MT 48) | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2007-07-08 |