| NPI | 1013572890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2020-03-06 |