| NPI | 1811132517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: RI CDP00594) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: RI C179) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2015-01-12 |