| NPI | 1770564635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ID CADC 1088005) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW 25983) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2007-07-08 |