| NPI | 1528209111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NY 18873) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 003190-1) |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2009-03-12 |