| NPI | 1538289608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 993) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC 5300) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2012-01-23 |