| NPI | 1962822908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 20526) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 20526) |
| 101YP2500X Counselor, Professional (Licence: NC 20526) | |
| 101YS0200X Counselor, School (Licence: NC 20526) | |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2014-04-17 |