| NPI | 1487856720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK under supervision) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2010-04-15 |