| NPI | 1942367065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 422) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 273) |
| 101YM0800X Counselor, Mental Health (Licence: NC 422) | |
| 101YP2500X Counselor, Professional (Licence: NC 273) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2010-05-18 |