| NPI | 1235539651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-23434) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 14) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC LAC-14) | |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2022-07-21 |