| NPI | 1447493853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NE 2194) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 1231) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 1180) | |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2009-04-15 |