| NPI | 1013354612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5672) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 1607084) |
| 101YP2500X Counselor, Professional | |
| 101YP2500X Counselor, Professional (Licence: SC 6097) | |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2021-03-29 |