| NPI | 1558793620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15802-132) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15803-131) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15345-137) | |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2013-08-12 |