| NPI | 1518285949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PR 119450) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PR 9498) |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2010-05-10 |