| NPI | 1548339971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1383) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ND 578-2-15-07) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2008-04-04 |