| NPI | 1881022176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 3505) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C009551) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2015-10-03 |