| NPI | 1760888606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |