| NPI | 1346799426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WY PAT-074) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WY CAP-150) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 16-R-45) | |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2022-07-21 |