| NPI | 1992000202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 101YP2500X Counselor, Professional (Licence: OR C3499) | |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2015-06-23 |