| NPI | 1548491467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15405-133) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15471131) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15457-132) | |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2010-03-30 |