| NPI | 1134759491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA C0305) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2020-01-24 |