| NPI | 1487820841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 347C00000X Private Vehicle | |
| 101Y00000X Counselor | |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2010-10-08 |