| NPI | 1528198900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DE 257) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0000530) |
| 163W00000X Registered Nurse (Licence: DE L1- 0014019) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-08 |