| NPI | 1588805345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P782) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 8728) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2011-02-23 |