| NPI | 1508242132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: HI 1578-10) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: HI MFT288) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-08-05 |