| NPI | 1952565020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000735) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 001880) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2011-04-12 |