| NPI | 1326552589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 8502) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: PA 7624) |
| 101YP2500X Counselor Professional (Licence: PA PC008250) | |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2024-02-22 |