| NPI | 1275233660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: KS 01829-T) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 09177) |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-03-06 |