| NPI | 1902918683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IL 16713) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180-002806) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-04-18 |