| NPI | 1811213960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 771) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 180.003477) |
| 101YP2500X Counselor, Professional (Licence: IL 180.003477) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AK 3825) | |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2012-10-16 |