| NPI | 1750411419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC0169) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC0207) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2016-11-30 |