| NPI | 1265957583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701011171) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2024-01-05 |