| NPI | 1316551088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ND 1293-6-1-23A) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ND 1893) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2023-10-02 |