| NPI | 1023606399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 16476) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 25307) |
| 101YP2500X Counselor, Professional (Licence: NC A16476) | |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2023-05-08 |