| NPI | 1235742610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC A15968) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 26685-A) |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-09-18 |