| NPI | 1730428145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO ACD.0000525) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: CO NLC.0103602) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2017-02-16 |