| NPI | 1649525718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 2086) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2012-07-16 |