| NPI | 1689704413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist | |
| 171100000X Acupuncturist | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |