| NPI | 1518259779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC A8046) |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2024-08-28 |