| NPI | 1508930579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-444) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3175) |
| 101YP2500X Counselor, Professional (Licence: NE 1643) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-09 |