| NPI | 1013966084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 014427) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701004133) |
| 101YP2500X Counselor, Professional (Licence: MO 2001029224) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2023-12-08 |