| NPI | 1194440909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 5588643-6018) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 5588643-6010) |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2022-10-05 |