| NPI | 1083047476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 3362) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 3362-A) |
| 101YP2500X Counselor, Professional (Licence: NC 10409) | |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2023-10-04 |