| NPI | 1194998146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 1191) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-1191) |
| 101YP2500X Counselor Professional (Licence: NC 11755) | |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2022-06-07 |