| NPI | 1215573373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DE 1339) |
| Additional Taxonomies | 104100000X Social Worker (Licence: DE Q3-0000020) |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |