| NPI | 1093454399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 261QM0801X (Licence: OH QMHS) |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2023-01-23 |