| NPI | 1093271876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: 37710) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 2417) | |
| Enumeration Date | 2019-02-16 |
| Last Update Date | 2024-08-06 |