| NPI | 1275034274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS24115) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A13766) |
| Enumeration Date | 2018-02-24 |
| Last Update Date | 2019-06-04 |