| NPI | 1114483385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: PR 1632) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PR CAT-IV-41575) |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-07-16 |