| NPI | 1942226873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LCA043) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC0380) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-07-09 |