| NPI | 1164808606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NM 0173731) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NM 0166121) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 15840-131) | |
| 101YP2500X Counselor Professional (Licence: WI 5141-125) | |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2024-03-14 |