| NPI | 1851713424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-22346) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC P008438) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2016-10-26 |