| NPI | 1760786826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 2014) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC P005801) |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2013-01-08 |