| NPI | 1063881621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 780-3-15-14-263) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1754) |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2020-01-03 |