| NPI | 1881942530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD0000348) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 0011138) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2013-08-27 |