| NPI | 1538477138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 1612) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC C004168) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2023-10-02 |