| NPI | 1932513249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD ACO340) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MD AC0340) |
| 171W00000X Contractor (Licence: MD ACO340) | |
| 174H00000X Health Educator (Licence: MD ACO340) | |
| 225C00000X Rehabilitation Counselor (Licence: MD ACO340) | |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2014-06-13 |