| NPI | 1780742395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC 41849) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00021100) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 4452) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 11143) | |
| 101YP2500X Counselor, Professional (Licence: PA PC001476) | |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00293500) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-08 |