| NPI | 1841552049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CT 1134) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2015-04-30 |