| NPI | 1861883423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: AL 856) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2015-02-17 |