| NPI | 1528479177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0006085) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACB.0007447) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000512) | |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2015-04-24 |