| NPI | 1265973978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC014544) |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2024-07-09 |