| NPI | 1326627308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 374700000X Technician | |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2024-07-24 |