| NPI | 1306338926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 17570) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ 13323) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2019-06-05 |