| NPI | 1174026710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-24301) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A13970) |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2021-06-15 |