| NPI | 1205953981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC S8353) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 15104) |
| 101YP2500X Counselor, Professional (Licence: NC 8353) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2023-05-11 |