| NPI | 1861749129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710101598) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904007833) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2012-08-06 |