| NPI | 1356976930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA 1369) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: GA 19-07-22-1180) |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-03-04 |