| NPI | 1548338601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1654) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ND 490-5-1-03-161) |
| 101Y00000X Counselor (Licence: ND 84934) | |
| 101YS0200X Counselor, School (Licence: ND 823) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2015-04-13 |