| NPI | 1700960739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1547) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ND 1886) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-09 |