| NPI | 1316451560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MI 2-00443) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MI SA0390142) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MI 12821) | |
| 405300000X Prevention Professional (Licence: MI SA0390142) | |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2017-11-27 |