| NPI | 1750769519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 0004008) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ 12513) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2015-05-13 |