| NPI | 1689733859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 89) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC A000083) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2013-02-28 |