| NPI | 1376108472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002560) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2024-08-21 |