| NPI | 1952411605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS484) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC LPC729) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-01-23 |