| NPI | 1568782001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CP0067) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E 0501175) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV CADC-I-01048) | |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2013-05-13 |