| NPI | 1295352508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA t20057) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IA 100146) |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2020-11-25 |