| NPI | 1487745204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |