| NPI | 1215171178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 0664) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 1389AD) |
| 174400000X Specialist | |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2018-06-22 |