| NPI | 1982639050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IA 00741) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 478) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA 00137) | |
| 101YM0800X Counselor, Mental Health (Licence: NE 2135) | |
| 163W00000X Registered Nurse (Licence: IA 047854) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-07-08 |