| NPI | 1831424852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 4415-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15409-132) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15391-133) | |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2014-09-04 |