| NPI | 1730347220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 8243) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AR ACADC/A-119) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AR CCS/A-119) | |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2008-05-30 |