| NPI | 1255817151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 4873-226) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16463-131) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 18434-130) | |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2023-12-11 |