| NPI | 1568421097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: RI LCDP00259) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: RI MHC00205) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2007-07-08 |