| NPI | 1720161136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS #470) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC LPC #3746) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2013-05-21 |