| NPI | 1942578885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: RI CDP00298) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: RI CSW01194) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2011-12-07 |