| NPI | 1780906891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 1419) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 1419) |
| 1041C0700X Social Worker, Clinical (Licence: CO 1419) | |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2010-02-17 |