| NPI | 1891928602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ID 205564) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID 25043) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-08-26 |