| NPI | 1447679725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE P1372) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE P10782) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2016-01-27 |