| NPI | 1902912272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1358) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ND 2163) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2017-11-16 |