| NPI | 1306673330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TN 1670) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: TN 487) |
| Enumeration Date | 2024-09-14 |
| Last Update Date | 2024-09-22 |