| NPI | 1003297490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2015029903) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MO 2015029903) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 178.009868) | |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2023-06-01 |