| NPI | 1851585236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 2246) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2015-10-13 |