| NPI | 1972934644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2020-05-01 |