| NPI | 1629376058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 4947436-3503) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 4947436-6006) |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2011-03-09 |