| NPI | 1508991183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DE CD0000026) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE 794) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-08-06 |