| NPI | 1750550844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 797) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC 797) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2012-04-02 |