| NPI | 1942331814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1156) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 6497) |
| 101YP2500X Counselor, Professional (Licence: NC 6497) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2016-09-13 |