| NPI | 1467878736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TR0400X Psychologist Rehabilitation | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |