| NPI | 1578904942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 119642) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 3672) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 300452) | |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2013-07-12 |