| NPI | 1215493192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 247000000X Technician, Health Information |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2023-03-23 |