| NPI | 1265048797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL ICADC.0100151) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP100281) |
| 101Y00000X Counselor (Licence: FL HS-BCP7389) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL SAP174503) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP.0100281) | |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2023-05-18 |