| NPI | 1497811731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE P358) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 3029) |
| 101YP2500X Counselor Professional (Licence: NE 1567) | |
| 163W00000X Registered Nurse (Licence: NE 22854) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-07-08 |