| NPI | 1780914804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1748) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 8105) |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2012-12-21 |