| NPI | 1528201308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 4436-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 4436-125) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15370-132) | |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2015-05-18 |