| NPI | 1689804809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 3102) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 6451) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2017-07-25 |