| NPI | 1992099089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |