| NPI | 1922076553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SD LPCMH2009) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SD CCDCIII) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SD ICADC14768) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2007-07-13 |