| NPI | 1063147296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ND 1091-10-15-20A) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ND 1886) |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2023-02-17 |