| NPI | 1992045934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 0893) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 1049) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2014-05-09 |