| NPI | 1457530503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AL CPM408) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AL CAADP004) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AL CPS1102) | |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |