| NPI | 1942407663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK candidate) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 2544) | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2008-04-04 |