| NPI | 1255640033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5495-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15790-132) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15690-130) | |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2025-03-27 |