| NPI | 1740366921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 8990) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 12499) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-07-09 |