| NPI | 1487781969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 900) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 888) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2010-01-27 |