| NPI | 1881858306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: HI 118) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: HI 1216-04) |
| 101YP2500X Counselor, Professional (Licence: CO 3041) | |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2008-07-14 |