| NPI | 1679689954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 89719187) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1028) |
| 104100000X Social Worker (Licence: ND 380) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2010-08-02 |