| NPI | 1821205022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 13) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: OK 95-249) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |