| NPI | 1922372176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AR CADC-1442) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AR CCDP411) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |