| NPI | 1972829950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ND 1622) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ND 4272) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2012-07-09 |