| NPI | 1992912711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ID ACADC11434) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP00001636) |
| 101YM0800X Counselor Mental Health (Licence: ID LPC5971) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2019-02-13 |