| NPI | 1043984040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-A27301) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 27301) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS27301) | |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2022-12-29 |