| NPI | 1346015955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0709025282) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| Enumeration Date | 2023-11-24 |
| Last Update Date | 2023-11-24 |