| NPI | 1972754661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-A 2833) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC C006191) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2015-07-10 |