| NPI | 1295095529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 2351) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 2351A) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 2351A) | |
| 251B00000X Case Management (Licence: NC 2351A) | |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2020-04-24 |