| NPI | 1831392182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PW E3930PCCSUPERVISOR) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 021004LICDCCHEMICALD) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2017-11-21 |