| NPI | 1750620860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 4707) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 4707) |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2013-02-08 |