| NPI | 1154759223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 787-6-1-14A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1695) |
| Enumeration Date | 2013-10-28 |
| Last Update Date | 2022-01-27 |