| NPI | 1942452503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701004447) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA CSAC 0710102350) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2015-09-18 |