| NPI | 1194368431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC A15194) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-A-25746) |
| 405300000X Prevention Professional (Licence: NC CSAPC-20397) | |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2019-10-21 |