| NPI | 1881857803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 001041) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA 90058) |
| 104100000X Social Worker (Licence: IA 01412) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2008-07-09 |